1115 RAINIER AVE 2017-06-29 - Laserfiche WebLink

PERMIT APPLICATIO!! BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: � � � �;i PROPERTY TAX#: �u��"i��'�� - � � LEGAL for new construction: ShoR PlaUsubdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HOUSIIIg AUtFIOCIty Of EVeC@tt TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREET 3107 Colby Ave �,n Everett STATE WA Z�P gg201 owNER PHONE:425-258-9222 OWNER EMAIL:Kenv@evha.org CONTRACTOR NAME:Allied Construction Associates CONTRACTOR ADDRESS: sTREeT 3120 Hewitt Ave ��n Everett STATE WA Z,P 98201 CONTRACTOR PHONE:425-259-6057 CONTRACTOR EMAIL:kdbjella@alliedconstruction.net CONTRACTOR LICENSE#(REQUIRED):ALLIECA008DF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 03762Z PRIMARY CONTACT: ❑ OWNER 8 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-422-0442 Keith Bjella CONTACTEMAIL:kdbjella@alliedconstruction.net BUILDING PERMIT APPLICATION Existing Use of Building:Multi-tenant housing Contract Price of Work: $4,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex BMulti-Family-#of Units:51 BCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. BSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Build a 9' long x 4' tall concrete entry sign d�7. G3 sLr-f; ASSOCIATED BUILDING PERMIT#(if applicable): �j �; —�a-V MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixfures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal, state,and local law The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before being authonzed under any circumstance. I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18 27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# `�� ^��-� � � _ �� , Owner/Authorized gent Signature Date (Revised 5/20/2016) � I , / �